10D0701387 CLIA NUMBER - JACINTHA BRILLANTE MD

Laboratory Demographics

  • CLIA Code: 10D0701387
  • Facility Name: JACINTHA BRILLANTE MD
  • Facility Address: 2301 N UNIVERSITY DR #107
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 966-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACINTHA A. BRILLANTE MD
  • NPI Number: 1144293135
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0701387
LAB Type Physician Office
Facility Name JACINTHA BRILLANTE MD
Street 2301 N UNIVERSITY DR #107
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 966-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JACINTHA A. BRILLANTE MD

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This page was last updated on: 9/29/2025